David L Vidrine, P. T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01613 Issued in LA

Practice address

1477 W Lasalle St
Ville Platte, LA 70586-2974

Phone

(337) 363-2600

Fax

(337) 363-2599

NPI assigned

Nov 8, 2006

Last updated

May 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthwork Rehab, LLCGroup PAC ID 6709857758, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthwork Rehab, LLC

  • Physical Therapist
  • Ville Platte, LA
  • NPI 1053402453
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1952471252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W LASALLE ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862974",
            "telephone_number": "337-363-2600",
            "fax_number": "337-363-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 W LASALLE ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862974",
            "telephone_number": "337-363-2600",
            "fax_number": "337-363-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDRINE",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "P. T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "01613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1153591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Vallet, FNP-C
• Brandi Lynn Vaughn
• Vidrine Community Clinic, LLC (Vidrine Community Clinic)
• Vidrine Rural Health Clinic LLC (Vidrine Rural Health Clinic)
• Lori Elizabeth Vidrine-Parks, M.D.
• Jean Philippe Vidrine, DDS
• Steven B Vidrine, MD
• Vigilant Healthcare-Southwest, LLC
• Ville Platte Medical Center
• Ville Platte Medical Center

• Physical Therapist in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.